Furthermore, the unexpected findings by Liou et al. (63) that a higher mortality rate after moderate to serious trauma is associated with DMT1 but not with DMT2 suggests a need to taper patient care specifically to the DMT1 trauma patients: early ICU admission, rapid hyperglycemia and related insulin therapy especially after moderate to severe trauma in an effort to increase survival (63). Here, INS is linked to Hyperglycemia.